Effectiveness of mobilisation of the upper cervical region and craniocervical flexor training on orofacial pain, mandibular function and headache in women with TMD. A randomised, controlled trial
| Autor: | Ana Beatriz Oliveira, Susan Armijo-Olivo, Francisco Alburquerque-Sendín, Lianna Ramalho de Sena Rosa, Corine M. Visscher, Letícia Bojikian Calixtre |
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| Přispěvatelé: | Oral Kinesiology, Orale Kinesiologie (ORM, ACTA) |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Pain Threshold Orofacial pain medicine.medical_specialty Headache impact Psychological intervention law.invention 03 medical and health sciences Young Adult 0302 clinical medicine Randomized controlled trial SDG 3 - Good Health and Well-being law Facial Pain medicine Humans In patient Single-Blind Method General Dentistry Physical Therapy Modalities Pain Measurement Neck Pain business.industry Headache 030206 dentistry Temporomandibular Joint Disorders Masticatory force Treatment Outcome Mixed-design analysis of variance Physical therapy Cervical Vertebrae Female medicine.symptom Manual therapy business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Journal of Oral Rehabilitation, 46(2), 109-119. Wiley-Blackwell Calixtre, L B, Oliveira, A B, de Sena Rosa, L R, Armijo-Olivo, S, Visscher, C M & Alburquerque-Sendín, F 2019, ' Effectiveness of mobilisation of the upper cervical region and craniocervical flexor training on orofacial pain, mandibular function and headache in women with TMD. A randomised, controlled trial ', Journal of Oral Rehabilitation, vol. 46, no. 2, pp. 109-119 . https://doi.org/10.1111/joor.12733 |
| ISSN: | 1365-2842 0305-182X |
| DOI: | 10.1111/joor.12733 |
| Popis: | Background: Studies exploring interventions targeting the cervical spine to improve symptoms in patients with temporomandibular disorders (TMD) are limited. Objectives: To determine whether mobilisation of the upper cervical region and craniocervical flexor training decreased orofacial pain, increased mandibular function and pressure pain thresholds (PPTs) of the masticatory muscles and decreased headache impact in women with TMD when compared to no intervention. Methods: In a single‐blind randomised controlled trial, 61 women with TMD were randomised into an intervention group (IG) and a control group (CG). The IG received upper cervical mobilisations and neck motor control and stabilisation exercises for 5 weeks. The CG received no treatment. Outcomes were collected by a blind rater at baseline and 5‐week follow‐up. Orofacial pain intensity was collected once a week. A mixed ANOVA and Cohen's d were used to determine differences within/between groups and effect sizes. Results: Pain intensity showed significant time‐by‐group interaction (P < 0.05), with significant between‐group differences at four and five weeks (P < 0.05), with large effect sizes (d > 0.8). The decrease in orofacial pain over time was clinically relevant only in the IG. Change in headache impact was significantly different between groups, and the IG showed a clinically relevant decrease after the treatment. No effects were found for PPT or mandibular function. Conclusion: Women with TMD reported a significant decrease in orofacial pain and headache impact after 5 weeks of treatment aimed at the upper cervical spine compared to a CG. |
| Databáze: | OpenAIRE |
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